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Individual

DR. GEORGE LEWIS THALER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
701 TENNENT RD, MANALAPAN, NJ 07726-3193
(732) 536-9593
(732) 536-5840
Mailing address
701 TENNENT RD, MANALAPAN, NJ 07726-3193
(732) 536-9593
(732) 536-5840

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1018
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1851337125
NPI
NJ
Enumeration date
06/22/2006
Last updated
06/16/2008
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